Jeremiah Christopher Sutton, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

07555 Issued in LA

Practice address

202 South Ave
Suite C
Vivian, LA 71082-3220

Phone

(318) 375-5500

NPI assigned

Mar 17, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Physical Therapy Group II LLCGroup PAC ID 8426466293, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elite Physical Therapy Group II LLC

  • Physical Therapy Clinic/Center
  • Alexandria, LA
  • NPI 1649859927
  Care Compare group
• Performance Physical Therapy of Minden, L.L.C.

  • Specialist
  • Minden, LA
  • NPI 1649276197

  Physical Therapist

  NPD (past)
• Physical Therapy Associates, Inc

  • Physical Therapist
  • Minden, LA
  • NPI 1093879660
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1154645372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 SOUTH AVE",
            "address_2": "SUITE C",
            "city": "VIVIAN",
            "state": "LA",
            "postal_code": "710823220",
            "telephone_number": "318-375-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 SOUTH AVE",
            "address_2": "SUITE C",
            "city": "VIVIAN",
            "state": "LA",
            "postal_code": "710823220",
            "telephone_number": "318-375-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "JEREMIAH",
        "middle_name": "CHRISTOPHER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-17",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Rowland, PHARM.D.
• RX Care of la Inc
• Rubie J. W. Scere, LPC
• Richida Shepard, MA
• Valeria Ruth Shepard, MASTERS
• Stephen Glenn Taylor, MD
• Michael Ryan Thomas
• Trinity Integrate Counseling Solutions, LLC
• Vivian Dental
• Vivian Physical Therapy, Inc.

• All providers in Vivian, LA
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.